Individual
DOMONIQUE REGISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 S ZEEB RD, ANN ARBOR, MI 48103-6060
(734) 756-3277
Mailing address
441 CHERRY GROVE RD, CANTON, MI 48188-5261
(586) 232-5404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501008790
MI
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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